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0 Waste No. 951176 <br /> : <br /> Systems <br /> M <br /> S <br /> BROWNING-FISII'l'ls <br /> NDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> S._ s Fe Railway Cowpnay Jersey'Island <br /> Generator Name Generating Location <br /> Address _ 7�', East Carnegie Road Address Jersey Islafid, CA <br /> Sun Bernardino, CA 92408 <br /> Phone No. I I 1 1771 Phone No. <br /> BFI Wa Code EBF M p T Containers Type J <br /> Description of Waste Quantity Units No. T e D.Drum I <br /> C-Carton <br /> U 0 0 2 0 Y❑ 10 I / I B• Bag <br /> CONSTRUCTION DEMO LUMBER 0 m ElT -Truck <br /> P - Pounds l <br /> Y-Yards <br /> El m ElO-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFA Part 260.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> class sd and packaged, and is in proper condition for transportation according to applicable regulations. <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> Truck No. '14' Phone No. 510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) ._TO y L10eY <br /> Address P. 0. sox 218 Vehicle License No./State L'57i%O 2,1W <br /> Byron, California 94544 Q q OS� <br /> Vehicle Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> it the generator site listed atwl incident to the destination listed below. <br /> loll I / �IiTjl <br /> )river Signature Shipment Date Dl SI u Delivery Date <br /> DESTINATION <br /> lite Name B.F.I. Vasco Road Landfill Phone No. [J1 0 _14 4 7 0 14-19-11-1 <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> Address <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> lame of Authorized Agent S'onature �� Receipt Date <br /> PASS CODE <br /> 0/86 � 8FI260-720 <br /> TRANSPORTER RETAIN <br />